Balloon dilatation for congenital esophageal stenosis associated with esophageal atresia

Deguchi, Koichi; Kamiyama, Masafumi; Masahata, Kazunori; Nomura, Motonari; Watanabe, Miho; Ueno, Takehisa; Tazuke, Yuko; Okuyama, Hiroomi

doi:https://doi.org/10.1007/s00383-024-05652-w

Balloon dilatation for congenital esophageal stenosis associated with esophageal atresia

Deguchi, Koichi; Kamiyama, Masafumi; Masahata, Kazunori et al.

Pediatric Surgery International, 2024, 40, 89

Number of Access:1,165（2025-07-22 21:49 Counts）

Identifier to cite or link to this item: https://hdl.handle.net/11094/95721

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Title	Balloon dilatation for congenital esophageal stenosis associated with esophageal atresia
Creator	CreatorName Deguchi, Koichi
	NRID 1000020403074 1000020403074 researchmap permalink kamiyamapedsurg kamiyamapedsurg Scopus Author ID 55559187300 55559187300 CreatorName Kamiyama, Masafumi
	NRID 1000040588381 1000040588381 CreatorName Masahata, Kazunori
	NRID 1000040546909 1000040546909 researchmap permalink moto_pedsurg moto_pedsurg Scopus Author ID 35208741700 35208741700 ORCID 0009-0004-0959-7461 0009-0004-0959-7461 CreatorName Nomura, Motonari
	NRID 1000040791728 1000040791728 researchmap permalink miho miho Scopus Author ID 56282966800 56282966800 ORCID 0000-0001-6691-0611 0000-0001-6691-0611 CreatorName Watanabe, Miho
	NRID 1000010456957 1000010456957 ORCID 0000-0002-4639-8814 0000-0002-4639-8814 researchmap permalink ueno-pedsurg ueno-pedsurg Scopus Author ID 21743992300 21743992300 CreatorName Ueno, Takehisa
	NRID 1000010397698 1000010397698 researchmap permalink yukotazuke-osaka yukotazuke-osaka Scopus Author ID 7006109798 7006109798 ORCID 0000-0002-8335-0414 0000-0002-8335-0414 CreatorName Tazuke, Yuko
	NRID 1000030252670 1000030252670 researchmap permalink okuyamahiroomi okuyamahiroomi Scopus Author ID 35496082300 35496082300 ORCID 0000-0002-1347-282X 0000-0002-1347-282X CreatorName Okuyama, Hiroomi
Subject	Anastomotic stricture
	Balloon dilatation
	Congenital esophageal stenosis
	Esophageal atresia and tracheoesophageal fistula
	Surgical resection
Description	The version of record of this article, first published in Pediatric Surgery International, is available online at Publisher’s website: https://doi.org/10.1007/s00383-024-05652-w.
Abstract	Purpose: Congenital esophageal stenosis (CES) associated with esophageal atresia (EA) is rare, and no standard treatment has been established. We reviewed cases of EA-associated CES to assess the clinical characteristics and treatment outcomes, especially the feasibility of endoscopic dilatation. Methods: We retrospectively examined patients with EA-associated CES. We also compared treatment outcomes of EA-associated CES with those of EA patients without CES who developed postoperative anastomotic stricture. Results: Among 44 patients with EA, ten had CES (23%). Postoperative complications were not significantly different between EA patients with CES and those without CES but with anastomotic stricture. All CES patients underwent balloon dilatation as initial treatment. Eight of nine patients (89%) were successfully treated by dilatation only, and one patient underwent surgical resection. The median number of balloon dilatations for CES was five (2–17), which was higher than that for anastomotic stricture in patients without CES (p = 0.012). Esophageal perforation occurred in five patients with CES (5/9, 56%) after dilatation, but all perforations were successfully managed conservatively with an uneventful post-dilatation course. Conclusions: Twenty-three percent of patients with EA had CES. Although balloon dilatation for EA-associated CES required multiple treatments and carried a risk of perforation, balloon dilatation showed an 89% success rate and all perforations could be managed conservatively.
Publisher	Springer Science and Business Media Deutschland GmbH
Source Title	Pediatric Surgery International
Volume (Issue)	40
Page	89
Date of Issued	2024-03-22
Language	English
Handle URL	https://hdl.handle.net/11094/95721
PISSN	01790358
eISSN	14379813
Relation.isIdenticalTo	DOI (Publisher Version) https://doi.org/10.1007/s00383-024-05652-w
Access Rights	open access
CopyRight	This article is licensed under a Creative Commons Attribution 4.0 International License.
oaire:version	Version of Record
Category	学術雑誌論文 Journal Article

Resource Type	journal article
Local Type	Journal Article
DCMI Type	Text
DCTERMS.bibliographicCitation	Pediatric Surgery International. 2024, 40, p. 89
DC.title	Balloon dilatation for congenital esophageal stenosis associated with esophageal atresia
DC.creator	Deguchi, Koichi
	Kamiyama, Masafumi
	Masahata, Kazunori
	Nomura, Motonari
	Watanabe, Miho
	Ueno, Takehisa
	Tazuke, Yuko
	Okuyama, Hiroomi
DC.publisher	Springer Science and Business Media Deutschland GmbH
DC.language' scheme='DCTERMS.RFC1766	English
DC.type' scheme='DCTERMS.DCMIType	Text
DCTERMS.issued' scheme='DCTERMS.W3CDTF	2024-03-22
DC.identifier	https://doi.org/10.1007/s00383-024-05652-w
DC.subject	Anastomotic stricture
	Balloon dilatation
	Congenital esophageal stenosis
	Esophageal atresia and tracheoesophageal fistula
	Surgical resection
DC.description	The version of record of this article, first published in Pediatric Surgery International, is available online at Publisher’s website: https://doi.org/10.1007/s00383-024-05652-w.
DCTERMS.abstract	Purpose: Congenital esophageal stenosis (CES) associated with esophageal atresia (EA) is rare, and no standard treatment has been established. We reviewed cases of EA-associated CES to assess the clinical characteristics and treatment outcomes, especially the feasibility of endoscopic dilatation. Methods: We retrospectively examined patients with EA-associated CES. We also compared treatment outcomes of EA-associated CES with those of EA patients without CES who developed postoperative anastomotic stricture. Results: Among 44 patients with EA, ten had CES (23%). Postoperative complications were not significantly different between EA patients with CES and those without CES but with anastomotic stricture. All CES patients underwent balloon dilatation as initial treatment. Eight of nine patients (89%) were successfully treated by dilatation only, and one patient underwent surgical resection. The median number of balloon dilatations for CES was five (2–17), which was higher than that for anastomotic stricture in patients without CES (p = 0.012). Esophageal perforation occurred in five patients with CES (5/9, 56%) after dilatation, but all perforations were successfully managed conservatively with an uneventful post-dilatation course. Conclusions: Twenty-three percent of patients with EA had CES. Although balloon dilatation for EA-associated CES required multiple treatments and carried a risk of perforation, balloon dilatation showed an 89% success rate and all perforations could be managed conservatively.
DC.rights	This article is licensed under a Creative Commons Attribution 4.0 International License.
DC.format	95721
citation_title	Balloon dilatation for congenital esophageal stenosis associated with esophageal atresia
citation_author	Deguchi, Koichi
	Kamiyama, Masafumi
	Masahata, Kazunori
	Nomura, Motonari
	Watanabe, Miho
	Ueno, Takehisa
	Tazuke, Yuko
	Okuyama, Hiroomi
citation_publisher	Springer Science and Business Media Deutschland GmbH
citation_language	English
citation_date	2024-03-22
citation_journal_title	Pediatric Surgery International
citation_volume	40
citation_firstpage	89
citation_doi	https://doi.org/10.1007/s00383-024-05652-w
citation_public_url	https://hdl.handle.net/11094/95721

Balloon dilatation for congenital esophageal stenosis associated with esophageal atresia

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